Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164482212 Individual Practitioner Male Practitioner

William Harreld Peterson , PA-C

Physician Assistant • Great Lakes, IL

Professional Overview & Biography Verified Profile Summary

William Peterson, PA-C is a registered healthcare professional specializing in Physician Assistant in Great Lakes, IL. Practice services are available at 3420 ILLINOIS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3420 Illinois St
Uss Tranquility Medical Clinic 1007

Great Lakes, IL 600885230

Telephone 8476886755
Associated Practice Facility / Clinic
🏢 James A Lovell Fhcc Facility NPI 1548367394

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Great Lakes, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Great Lakes, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM 2000-PA22

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Emily Baker , DPT

Physical Therapist

NPI 1003342536

Doctor of Physical Therapy

James Kedrow , PA-C

Physician Assistant

NPI 1083674295

Physician Assistant (Certified)

Erik Myers , PA-C

Physician Assistant

NPI 1093158792

Physician Assistant (Certified)

NPI 1093781882

Doctor of Podiatric Medicine

Shirley Mccullough , MSW

Social Worker - Clinical

NPI 1134191729

Master of Social Work

Rodger Howard , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1205804242

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3420 ILLINOIS ST, USS TRANQUILITY MEDICAL CLINIC 1007, GREAT LAKES, IL 600885230 (Tel: 8476886755)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1313 PINE GROVE AVE, ROUND LAKE BEACH, IL 600732152 (Tel: 8476886755)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM PETERSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #2000-PA22 in NM)

🟢
Initial NPI Registration & Enumeration March 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164482212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1313 Pine Grove Ave

Round Lake Beach, IL 600732152

Phone: 8476886755

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.